| NPI | 1639592926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP2300X Nurse Practitioner Primary Care (Licence: TX 633575) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 633575) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2021-09-29 |