| NPI | 1992867121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP112563) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 648314) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 648314) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2023-02-27 |