NPI | 1407154222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 17545) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN RN0000162417) |
363LW0102X Nurse Practitioner, Women's Health (Licence: GA 162417) | |
Enumeration Date | 2011-03-02 |
Last Update Date | 2020-02-19 |