| NPI | 1235110487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 103747) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1114795) |
| Enumeration Date | 2005-11-07 |
| Last Update Date | 2023-08-04 |