| NPI | 1124023122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 081278-23) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 533226) |
| Enumeration Date | 2005-06-16 |
| Last Update Date | 2020-11-19 |