| NPI | 1215546601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1000006) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1000006) |
| Enumeration Date | 2020-07-30 |
| Last Update Date | 2024-01-15 |