| NPI | 1659992915 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 1031105) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024178749) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TX 1031105) | |
| Enumeration Date | 2020-04-28 |
| Last Update Date | 2025-05-30 |