| NPI | 1891287496 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 1072719) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA 208645) |
| Enumeration Date | 2018-05-31 |
| Last Update Date | 2022-09-20 |