| NPI | 1760515787 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1094369) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: HI LPN15467) |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2022-12-09 |