| NPI | 1285792598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 242859) |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2023-10-20 |