| NPI | 1831198845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX AP107728) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: TX TX599419) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX TX599419) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP107728) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX TX599419) | |
| Enumeration Date | 2005-07-20 |
| Last Update Date | 2023-01-16 |