NPI | 1003570730 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN333028) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: VA 0001283814) |
Enumeration Date | 2021-10-28 |
Last Update Date | 2025-07-08 |