| NPI | 1164499661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 239464) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP107327) |
| Enumeration Date | 2006-03-02 |
| Last Update Date | 2021-01-25 |