NPI | 1023577624 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS 903264) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN292589) |
363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-137810) | |
Enumeration Date | 2019-03-14 |
Last Update Date | 2025-08-25 |