| NPI | 1194385112 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: TX AP141942) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP141942) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TX AP141942) | |
| Enumeration Date | 2019-06-20 |
| Last Update Date | 2025-01-30 |