| NPI | 1316519382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TX 1113136) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 1113136) |
| Enumeration Date | 2021-07-10 |
| Last Update Date | 2023-06-20 |