| NPI | 1992014450 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX AP115458) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209010161) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 309008440) | |
| Enumeration Date | 2010-10-01 |
| Last Update Date | 2023-02-04 |