| NPI | 1346511557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP120715) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 715291) |
| Enumeration Date | 2012-01-19 |
| Last Update Date | 2023-12-14 |