| NPI | 1205463460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421428) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1192122) |
| Enumeration Date | 2020-03-26 |
| Last Update Date | 2025-08-07 |