NPI | 1518491109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9307625) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9307625) |
Enumeration Date | 2017-04-20 |
Last Update Date | 2021-08-11 |