NPI | 1376122275 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OH 0035511) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 29179) |
Enumeration Date | 2021-04-07 |
Last Update Date | 2024-01-04 |