| NPI | 1841491750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP110815) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 649286) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2022-05-24 |