NPI | 1427755883 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MD R236457) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R236457) |
Enumeration Date | 2023-02-15 |
Last Update Date | 2024-09-11 |