NPI | 1023252707 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AZ 258169) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2004020175) |
Enumeration Date | 2009-04-27 |
Last Update Date | 2025-09-03 |