| NPI | 1497948129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 853818) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP125713) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN152834) | |
| Enumeration Date | 2007-08-27 |
| Last Update Date | 2024-09-24 |