| NPI | 1760161301 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1118047) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA 227052) |
| Enumeration Date | 2023-07-12 |
| Last Update Date | 2023-07-12 |