| NPI | 1376996819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP134561) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: PA SP016420) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP134560) | |
| Enumeration Date | 2016-07-20 |
| Last Update Date | 2018-12-17 |