| NPI | 1679654776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP106544) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 597304) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2021-12-01 |