| NPI | 1528007135 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP130722) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: CT 004565) |
| 363L00000X Nurse Practitioner (Licence: TX AP130722) | |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2021-02-10 |