| NPI | 1780455261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1095185) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 1095185) |
| 207V00000X Obstetrics & Gynecology (Licence: MD AC008124) | |
| Enumeration Date | 2024-01-12 |
| Last Update Date | 2025-12-05 |