| NPI | 1548760606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 1058053) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 95008617) |
| Enumeration Date | 2018-02-15 |
| Last Update Date | 2023-05-19 |