| NPI | 1174925127 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP126246) | 
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 767924) | 
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: TX AP126246) | |
| Enumeration Date | 2014-09-22 | 
| Last Update Date | 2024-03-21 |