NPI | 1184195216 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 28662) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN249642) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA Rn249642) | |
Enumeration Date | 2018-12-16 |
Last Update Date | 2024-05-29 |