| NPI | 1114583093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1017247) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R237701) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R2337701) | |
| Enumeration Date | 2019-05-15 |
| Last Update Date | 2024-10-03 |