NPI | 1598072761 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 3276) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN R 153459-1) |
Enumeration Date | 2010-09-08 |
Last Update Date | 2025-03-11 |