| NPI | 1467419119 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 774056) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 45843) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 151817) | |
| Enumeration Date | 2006-04-27 |
| Last Update Date | 2017-09-08 |