| NPI | 1639455744 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP121096) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 749427) |
| Enumeration Date | 2011-11-02 |
| Last Update Date | 2021-05-25 |