| NPI | 1134479454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5010645) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SD CP000749) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP128050) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2025-09-26 |