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 |