NPI | 1003441601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 29038) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 59344) |
Enumeration Date | 2020-03-04 |
Last Update Date | 2024-10-13 |