NPI | 1336770478 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP025195) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421424) |
Enumeration Date | 2020-01-28 |
Last Update Date | 2024-04-22 |