| NPI | 1316581705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP145886) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: TX 800034) |
| Enumeration Date | 2019-10-29 |
| Last Update Date | 2021-03-24 |