| NPI | 1801899349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP108955) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 559826) |
| Enumeration Date | 2005-05-28 |
| Last Update Date | 2021-05-18 |