| NPI | 1255509246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP103543) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 525538) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2018-07-24 |