| NPI | 1891104576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TX AP122365) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 733478) |
| Enumeration Date | 2014-08-07 |
| Last Update Date | 2021-07-13 |