| NPI | 1306386834 |
|---|---|
| Former Name | MONISHA BOATMAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 22576) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 22576) |
| 163W00000X Registered Nurse (Licence: TN 197841) | |
| Enumeration Date | 2017-03-02 |
| Last Update Date | 2024-11-25 |