| NPI | 1770868663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP123473) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP123473) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP 011058) | |
| Enumeration Date | 2011-10-11 |
| Last Update Date | 2023-01-16 |