NPI | 1598180614 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TN 39491) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9404349) |
363LW0102X Nurse Practitioner, Women's Health (Licence: WI 4380-33) | |
Enumeration Date | 2014-02-26 |
Last Update Date | 2025-09-15 |