| NPI | 1245508431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1074591) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 790999) |
| Enumeration Date | 2011-12-02 |
| Last Update Date | 2022-09-08 |