| NPI | 1144572132 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11022330) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 752140) |
| Enumeration Date | 2012-10-15 |
| Last Update Date | 2023-02-10 |