| NPI | 1285351163 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NY F421624) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 918256) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: TX 1094982) | |
| Enumeration Date | 2022-10-21 |
| Last Update Date | 2022-12-27 |