| NPI | 1912909607 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MS 0291) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: TX 16462) |
| 101YP2500X Counselor, Professional (Licence: LA 03-06-88) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 668367) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: MS R87655) | |
| Enumeration Date | 2005-08-11 |
| Last Update Date | 2007-07-08 |