NPI | 1326403536 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60590540) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60590540) |
Enumeration Date | 2015-12-15 |
Last Update Date | 2024-09-28 |