| NPI | 1275185845 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: UT 10390292-4405) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 00000000000) |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2023-01-20 |