| NPI | 1093469116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 8619014-4405) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 8619014-4405) |
| Enumeration Date | 2022-02-08 |
| Last Update Date | 2023-04-06 |