NPI | 1003350745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP017033) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP017033) |
Enumeration Date | 2016-12-15 |
Last Update Date | 2020-08-31 |