NPI | 1487995890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95000187) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657911-1) |
163W00000X Registered Nurse (Licence: CA 852151) | |
Enumeration Date | 2013-03-10 |
Last Update Date | 2021-11-19 |