| NPI | 1083964118 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP128765) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP128765) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OK R0090140) | |
| 367H00000X Anesthesiologist Assistant (Licence: TX AP128765) | |
| Enumeration Date | 2012-09-17 |
| Last Update Date | 2023-09-26 |