NPI | 1134605132 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1204722) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP11531) |
Enumeration Date | 2018-07-13 |
Last Update Date | 2025-08-06 |