| NPI | 1538247408 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX Ap115408) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 559333) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2023-06-29 |