NPI | 1366745234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9460383) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA 11322-NP) |
Enumeration Date | 2010-12-14 |
Last Update Date | 2023-11-28 |