| NPI | 1528803970 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1169525) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-095576) |
| Enumeration Date | 2024-06-27 |
| Last Update Date | 2025-09-27 |