| NPI | 1982989695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP116987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 694125) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2014-12-17 |