NPI | 1255667796 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 062520-23) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NH 062520-21) |
163W00000X Registered Nurse (Licence: MA RN2262268) | |
Enumeration Date | 2009-10-18 |
Last Update Date | 2018-05-18 |