| NPI | 1225715667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: TX 900335) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 104067706) |
| Enumeration Date | 2023-06-28 |
| Last Update Date | 2023-06-28 |