| NPI | 1134784838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX A140574) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP140574) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX AP140574) | |
| Enumeration Date | 2019-05-08 |
| Last Update Date | 2024-04-26 |