| NPI | 1902457302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP142839) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX API142839) |
| Enumeration Date | 2019-09-26 |
| Last Update Date | 2025-03-31 |