NPI | 1205228285 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 18442) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN 18442) |
Enumeration Date | 2015-02-26 |
Last Update Date | 2023-06-19 |