| NPI | 1528243524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP104182) |
| Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: HI APRN-365) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 449655) | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2017-02-13 |