| NPI | 1801395629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: TX AP135828) |
| Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: TX AP135828) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP135828) | |
| Enumeration Date | 2018-02-07 |
| Last Update Date | 2024-03-07 |