| NPI | 1164796017 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP122144) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 254644) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: TX 254644) | |
| Enumeration Date | 2012-02-23 |
| Last Update Date | 2021-12-02 |