| NPI | 1699314716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP144503) |
| Additional Taxonomies | 208VP0000X Pain Medicine, Pain Medicine (Licence: TX AP144503) |
| Enumeration Date | 2020-01-06 |
| Last Update Date | 2020-03-09 |