| NPI | 1598096059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 452071) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 4-52071) |
| Enumeration Date | 2010-01-23 |
| Last Update Date | 2014-12-09 |