| NPI | 1316349475 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP135161) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TX AP135161) |
| Enumeration Date | 2014-09-20 |
| Last Update Date | 2023-10-05 |