| NPI | 1992380349 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1114753) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1174310) |
| Enumeration Date | 2021-03-16 |
| Last Update Date | 2023-06-28 |