| NPI | 1689963720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP120138) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 701416) |
| Enumeration Date | 2011-03-29 |
| Last Update Date | 2020-11-24 |