| NPI | 1871629311 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP108542) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 643875) |
| Enumeration Date | 2007-02-27 |
| Last Update Date | 2023-05-03 |