| NPI | 1235600164 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP139225) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY N08670) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024179243) | |
| Enumeration Date | 2018-12-17 |
| Last Update Date | 2025-10-09 |