NPI | 1326789454 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN11018206) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11018206) |
Enumeration Date | 2022-04-05 |
Last Update Date | 2025-04-21 |