| NPI | 1710374855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 37321) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP127858) |
| Enumeration Date | 2015-04-15 |
| Last Update Date | 2024-11-11 |