| NPI | 1932286606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP115257) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 641302) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2019-04-18 |