| NPI | 1669266086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1190211) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1190211) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 1190211) | |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2025-07-15 |