| NPI | 1548144074 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX 1208284) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 1208284) |
| Enumeration Date | 2025-08-05 |
| Last Update Date | 2025-11-05 |