| NPI | 1740489194 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP115825) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 673726) |
| Enumeration Date | 2007-07-16 |
| Last Update Date | 2022-01-28 |