NPI | 1326401761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP027602) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN642005) |
163W00000X Registered Nurse (Licence: OH RN.382551) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP016598) | |
Enumeration Date | 2016-04-02 |
Last Update Date | 2024-08-28 |