| NPI | 1255945713 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1207194) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 977989) | 
| Enumeration Date | 2020-09-02 | 
| Last Update Date | 2025-08-04 |