| NPI | 1750994935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP1010700) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1010700) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP1010700) | |
| Enumeration Date | 2020-08-26 |
| Last Update Date | 2024-08-05 |