NPI | 1225599681 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1026008) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95011266) |
Enumeration Date | 2019-03-28 |
Last Update Date | 2022-06-01 |