| NPI | 1861779845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1174996) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: TX 755875) |
| Enumeration Date | 2011-11-04 |
| Last Update Date | 2024-09-14 |