| NPI | 1174713754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX AP1088078) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 652804) |
| Enumeration Date | 2007-07-30 |
| Last Update Date | 2024-08-26 |