NPI | 1184169658 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: TN 21429) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 21429) |
Enumeration Date | 2016-12-20 |
Last Update Date | 2024-05-31 |