| NPI | 1740573047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: LA AP06299) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP06299) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 121136) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP121136) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA AP06299) | |
| Enumeration Date | 2011-05-18 |
| Last Update Date | 2022-03-23 |