| NPI | 1952687964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 535055) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 535055) |
| 363LF0000X Nurse Practitioner Family (Licence: TX 535055) | |
| Enumeration Date | 2011-10-24 |
| Last Update Date | 2021-01-07 |