| NPI | 1700055043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1102159) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN MG1696600) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN13030) | |
| Enumeration Date | 2008-02-20 |
| Last Update Date | 2026-10-26 |