| NPI | 1073304309 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 1050763) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1050763) |
| Enumeration Date | 2025-05-15 |
| Last Update Date | 2025-07-16 |