| NPI | 1780058123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1180670) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 928909) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2025-11-17 |