| NPI | 1659342673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: TX 585951) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 585951) |
| Enumeration Date | 2006-01-28 |
| Last Update Date | 2022-07-21 |