NPI | 1558382309 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 249366) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 249366) |
363LA2200X Nurse Practitioner, Adult Health (Licence: CA 249366) | |
363LP2300X Nurse Practitioner, Primary Care (Licence: CA 249366) | |
Enumeration Date | 2006-07-21 |
Last Update Date | 2025-09-11 |