| NPI | 1740646397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1127824) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 120355) |
| Enumeration Date | 2016-01-12 |
| Last Update Date | 2024-08-02 |