| NPI | 1902068539 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP115990) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 463578) |
| Enumeration Date | 2008-06-25 |
| Last Update Date | 2021-08-23 |