| NPI | 1720312564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP130786) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421161-1) |
| 163W00000X Registered Nurse (Licence: NY 6176321) | |
| 163W00000X Registered Nurse (Licence: TX 889952) | |
| Enumeration Date | 2009-09-28 |
| Last Update Date | 2023-01-25 |