| NPI | 1881214781 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1059723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 924266) |
| Enumeration Date | 2020-04-21 |
| Last Update Date | 2022-01-29 |