| NPI | 1811009202 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP108766) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 612429) |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2017-02-14 |