| NPI | 1518266238 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 570916) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: TX 570916) |
| Enumeration Date | 2011-03-21 |
| Last Update Date | 2011-03-21 |