| NPI | 1013083161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP125529) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN R172082-6) |
| Enumeration Date | 2006-11-28 |
| Last Update Date | 2014-10-20 |