| NPI | 1053518894 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP103014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX RN452065) |
| 163W00000X Registered Nurse (Licence: LA RN112114) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP04701) | |
| Enumeration Date | 2007-06-27 |
| Last Update Date | 2019-09-13 |