NPI | 1275871501 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 9465677) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP011591) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00430700) | |
Enumeration Date | 2013-01-22 |
Last Update Date | 2023-01-18 |