| NPI | 1790088235 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP119437) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 688746) |
| Enumeration Date | 2010-12-06 |
| Last Update Date | 2021-05-28 |