NPI | 1154038685 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 114145-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2334720) |
Enumeration Date | 2022-11-03 |
Last Update Date | 2025-05-22 |