NPI | 1013478775 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 7373) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: VA 0024177448) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MD R262947) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: DC 500013722) | |
Enumeration Date | 2019-03-26 |
Last Update Date | 2024-04-11 |