| NPI | 1386921518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP102209) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 233427) |
| Enumeration Date | 2011-11-16 |
| Last Update Date | 2014-12-05 |