| NPI | 1982976346 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 294040) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP125262) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 0101031) | |
| 208VP0014X Pain Medicine, Interventional Pain Medicine (Licence: TX AP125262) | |
| 363L00000X Nurse Practitioner (Licence: TX AP125262) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 21600) | |
| Enumeration Date | 2012-02-01 |
| Last Update Date | 2023-09-21 |