| NPI | 1720428360 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP137136) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 700128) |
| 207L00000X Anesthesiology (Licence: TX AP137136) | |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2021-07-13 |