| NPI | 1831251396 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 244307) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: TX 244307) |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2008-06-18 |