| NPI | 1790051548 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP121666) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX AP121666) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 648633) | |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2024-07-12 |