| NPI | 1932525920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1084523) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9355378) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2024-05-10 |