| NPI | 1871673061 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 570578) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MT 8208) |
| Enumeration Date | 2006-10-16 |
| Last Update Date | 2013-11-20 |