| NPI | 1821685710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 1088699) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TN 28748) |
| Enumeration Date | 2020-12-24 |
| Last Update Date | 2024-01-22 |