| NPI | 1811774342 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1117623) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 1117623) |
| Enumeration Date | 2023-09-08 |
| Last Update Date | 2023-09-28 |