NPI | 1205610904 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC NP500013654) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R268346) |
363LW0102X Nurse Practitioner, Women's Health (Licence: CT 12244) | |
Enumeration Date | 2023-08-23 |
Last Update Date | 2025-03-14 |