NPI | 1518479112 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9170455) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9170455) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9170455) | |
Enumeration Date | 2017-11-04 |
Last Update Date | 2025-01-12 |