| NPI | 1912895319 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 1206585) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 907378) |
| Enumeration Date | 2025-06-25 |
| Last Update Date | 2026-03-03 |