| NPI | 1043938723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 1089096) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 1089096) |
| 363L00000X Nurse Practitioner (Licence: TX 1089096) | |
| Enumeration Date | 2022-08-18 |
| Last Update Date | 2024-03-20 |