| NPI | 1659749687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP128946) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP128946) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP128946) | |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2023-12-04 |