| NPI | 1205973377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 55488) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1288) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP0341) | |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2021-05-04 |