NPI | 1023612314 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11009734) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL 11009734) |
Enumeration Date | 2020-11-26 |
Last Update Date | 2023-10-13 |