| NPI | 1952987141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1040340) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX F02210407) |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2021-05-24 |