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 |