| NPI | 1467185488 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: UT 10452023-4405) |
| Additional Taxonomies | 363LS0200X Nurse Practitioner, School (Licence: UT 10452023-3102) |
| Enumeration Date | 2022-07-07 |
| Last Update Date | 2024-09-18 |