NPI | 1508340043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 084905-23) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 084905-23) |
Enumeration Date | 2018-09-20 |
Last Update Date | 2025-09-30 |