| NPI | 1811967417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP116867) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner Community Health (Licence: TX 645471) |
| 363LF0000X Nurse Practitioner Family (Licence: FL ARNP 9243216) | |
| 363LF0000X Nurse Practitioner Family (Licence: VA 0024168843) | |
| 363LW0102X Nurse Practitioner Women's Health (Licence: CA 12260) | |
| Enumeration Date | 2006-01-25 |
| Last Update Date | 2023-02-06 |