NPI | 1093303745 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: PA SP023051) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP023051) |
Enumeration Date | 2021-01-07 |
Last Update Date | 2021-03-08 |