| NPI | 1891440723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1071407) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: TX 1071407) |
| 363L00000X Nurse Practitioner (Licence: TX 1071407) | |
| Enumeration Date | 2022-02-18 |
| Last Update Date | 2024-04-05 |