| NPI | 1356840615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX AP135844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP135844) |
| Enumeration Date | 2018-02-01 |
| Last Update Date | 2024-06-03 |