| NPI | 1376830083 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP120894) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1796) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MS R886916) | |
| Enumeration Date | 2011-07-01 |
| Last Update Date | 2021-07-08 |