| NPI | 1598995607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115092) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX AP115092) |
| Enumeration Date | 2009-07-23 |
| Last Update Date | 2024-04-05 |