| NPI | 1174773857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP117032) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F370046) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421194) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2025-05-28 |