| NPI | 1578137956 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 104005218) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: GA RN289822) |
| Enumeration Date | 2021-05-19 |
| Last Update Date | 2024-02-21 |