| NPI | 1750799466 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP126049) |
| Additional Taxonomies | 207LP2900X Anesthesiology, Pain Medicine (Licence: TX ap126049) |
| 363L00000X Nurse Practitioner (Licence: TX AP126049) | |
| Enumeration Date | 2014-07-25 |
| Last Update Date | 2023-03-07 |