| NPI | 1609167089 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP118406) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: TX 733876) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: LA RN131946) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP06390) | |
| Enumeration Date | 2011-04-20 |
| Last Update Date | 2019-09-13 |