NPI | 1437610201 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM 62288) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP139790) |
Enumeration Date | 2019-03-26 |
Last Update Date | 2021-03-16 |