NPI | 1154949246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11011524) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN2740692) |
Enumeration Date | 2020-07-06 |
Last Update Date | 2023-05-10 |