| NPI | 1437748340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1013535) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 1013535) |
| Enumeration Date | 2021-01-14 |
| Last Update Date | 2023-05-23 |