| NPI | 1760722342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 65033) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 21054) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1033877) | |
| Enumeration Date | 2013-02-19 |
| Last Update Date | 2022-11-18 |