| NPI | 1720094626 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP114339) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 658598) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2022-06-17 |