| NPI | 1245456615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 616521) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX ap110794) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 616521) | |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2020-02-19 |