| NPI | 1922642453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP143462) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: TX AP143462) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: TX AP143462) | |
| Enumeration Date | 2019-10-28 |
| Last Update Date | 2024-06-20 |