NPI | 1013673672 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: ND R36695) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: ND R36695) |
Enumeration Date | 2021-11-09 |
Last Update Date | 2022-04-05 |