NPI | 1003212234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5007316) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 173651) |
Enumeration Date | 2014-11-17 |
Last Update Date | 2023-02-27 |