| NPI | 1578206272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1147698) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 927767) |
| Enumeration Date | 2022-04-19 |
| Last Update Date | 2024-01-04 |