| NPI | 1912982307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 791391) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: ND R27669) |
| Enumeration Date | 2005-12-08 |
| Last Update Date | 2020-11-17 |