| NPI | 1679153597 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VE0102X Obstetrics & Gynecology, Reproductive Endocrinology (Licence: TX 1023951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1023951) |
| Enumeration Date | 2021-04-13 |
| Last Update Date | 2021-05-05 |