| NPI | 1386073716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT NUR-APRN-LIC-124787) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 728514) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MT 124787) | |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2018-10-23 |