| NPI | 1902009848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP109241) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 608462) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2024-12-11 |