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 |