| NPI | 1710093513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 103767) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 500761) |
| Enumeration Date | 2006-08-22 |
| Last Update Date | 2025-04-01 |