NPI | 1144624404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP7397) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.012908) |
Enumeration Date | 2014-10-15 |
Last Update Date | 2021-06-07 |