| NPI | 1942545736 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP140240) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: NY 421111) | |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2024-04-09 |