| NPI | 1528403342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP123524) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 705517) |
| Enumeration Date | 2013-05-07 |
| Last Update Date | 2024-05-14 |