| NPI | 1023573656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 10822131-4405) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: UT 10822131-4405) |
| Enumeration Date | 2019-02-07 |
| Last Update Date | 2023-12-30 |