NPI | 1235681883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 073614-2) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: NH 073614-23) |
Enumeration Date | 2016-10-31 |
Last Update Date | 2022-02-03 |