| NPI | 1013285725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1034362) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 593676) |
| Enumeration Date | 2011-12-08 |
| Last Update Date | 2021-12-28 |