| NPI | 1902205008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP121497) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: TX AP121497) |
| Enumeration Date | 2014-08-14 |
| Last Update Date | 2023-03-06 |