NPI | 1558246090 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: ZZ 6040-35206637) |
Additional Taxonomies | 246RP1900X Technician, Pathology, Phlebotomy (Licence: UT SL-8826) |
247200000X Technician, Other | |
374U00000X Home Health Aide | |
376K00000X Nurse's Aide | |
Enumeration Date | 2025-08-06 |
Last Update Date | 2025-08-15 |