| NPI | 1750439428 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP109726) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 659011) |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2015-10-22 |