| NPI | 1982184370 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP137949) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX AP137949) |
| Enumeration Date | 2018-08-15 |
| Last Update Date | 2019-07-01 |