| NPI | 1083124333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135250) |
| Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: TX 779024) |
| Enumeration Date | 2017-10-01 |
| Last Update Date | 2017-10-01 |