| NPI | 1104467562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP142157) |
| Additional Taxonomies | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: TX AP142157) |
| 363L00000X Nurse Practitioner (Licence: TX AP142157) | |
| Enumeration Date | 2019-10-07 |
| Last Update Date | 2024-03-27 |