| NPI | 1275533663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP107251) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 597340) |
| Enumeration Date | 2005-07-28 |
| Last Update Date | 2022-10-05 |