| NPI | 1902887953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 657178) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 657178) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 657178) | |
| Enumeration Date | 2005-11-08 |
| Last Update Date | 2018-10-08 |