NPI | 1134671548 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP016114) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC 1041515) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MD R224738) | |
Enumeration Date | 2016-11-02 |
Last Update Date | 2020-12-15 |