| NPI | 1982236881 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP145294) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 842910) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX AP145294) | |
| Enumeration Date | 2020-02-08 |
| Last Update Date | 2024-06-26 |