| NPI | 1821152844 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 623282) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP110719) |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2023-11-27 |