NPI | 1194238907 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN294699) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 23401) |
Enumeration Date | 2017-11-15 |
Last Update Date | 2021-04-26 |