| NPI | 1942514831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 719833) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: KY 6598P) |
| Enumeration Date | 2010-08-03 |
| Last Update Date | 2012-10-16 |