| NPI | 1588737118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R175516) |
| Additional Taxonomies | 207L00000X Anesthesiology (Licence: MD R175516) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 1052832) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: MD R175516) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2023-09-08 |