NPI | 1033724273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024185196) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024185196) |
Enumeration Date | 2020-09-14 |
Last Update Date | 2023-09-14 |