NPI | 1215567524 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL APRN1105546) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11005546) |
Enumeration Date | 2020-01-26 |
Last Update Date | 2025-07-14 |