NPI | 1487225116 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95019270) |
Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: CA 838408) |
Enumeration Date | 2021-07-03 |
Last Update Date | 2024-05-24 |