| NPI | 1215214614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP101526) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 518359) |
| Enumeration Date | 2011-11-14 |
| Last Update Date | 2019-09-13 |