| NPI | 1144000688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1133724) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 1133724) |
| Enumeration Date | 2023-10-02 |
| Last Update Date | 2024-12-16 |