| NPI | 1114572666 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX ap142596) |
| Additional Taxonomies | 207X00000X Orthopaedic Surgery (Licence: TX 849172) |
| 363L00000X Nurse Practitioner (Licence: KS 53-78945) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX AP142596) | |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2023-03-02 |