NPI | 1083329759 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11024090) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11024090) |
Enumeration Date | 2023-01-17 |
Last Update Date | 2024-09-12 |