| NPI | 1811965569 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP101841) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 251551) |
| Enumeration Date | 2006-03-09 |
| Last Update Date | 2023-11-16 |