NPI | 1386186153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95004971) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 821567) |
Enumeration Date | 2016-11-10 |
Last Update Date | 2024-10-23 |