| NPI | 1215952031 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 540927) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 540927) |
| Enumeration Date | 2006-07-13 |
| Last Update Date | 2011-09-26 |