NPI | 1255300851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT 100640) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT RN32019) |
Enumeration Date | 2006-03-16 |
Last Update Date | 2025-04-10 |