| NPI | 1962696690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP116101) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 688454) |
| 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: TX 688454) | |
| Enumeration Date | 2007-09-06 |
| Last Update Date | 2017-04-26 |