| NPI | 1730605924 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WA AP61304983) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP134241) |
| Enumeration Date | 2017-08-18 |
| Last Update Date | 2025-03-05 |