| NPI | 1578846127 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95032003) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 732773) |
| Enumeration Date | 2011-09-20 |
| Last Update Date | 2024-11-04 |