| NPI | 1841466158 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX ap104870) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 544527) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 544527) | |
| Enumeration Date | 2008-05-06 |
| Last Update Date | 2022-11-04 |