NPI | 1497906713 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QS0010X Family Medicine, Sports Medicine (Licence: TX AP117170) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP117170) |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX 758414) | |
Enumeration Date | 2008-10-06 |
Last Update Date | 2022-05-22 |