NPI | 1902205008 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP121497) |
Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: TX AP121497) |
Enumeration Date | 2014-08-14 |
Last Update Date | 2023-03-06 |