| NPI | 1346877677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1048801) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 810836) |
| Enumeration Date | 2020-03-25 |
| Last Update Date | 2021-09-30 |