NPI | 1295419521 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024187329) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001264851) |
Enumeration Date | 2023-06-15 |
Last Update Date | 2023-06-15 |