NPI | 1003100074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP7256) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AZ RN085419) |
Enumeration Date | 2011-06-07 |
Last Update Date | 2024-01-26 |