| NPI | 1023521721 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 562365) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP136766) |
| Enumeration Date | 2017-11-16 |
| Last Update Date | 2026-02-06 |