| NPI | 1306947791 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 708458) |
| Additional Taxonomies | 163WP0200X Registered Nurse Pediatrics (Licence: TX 708458) |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2015-02-24 |