NPI | 1609499110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421625) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: MA RN2334150) |
Enumeration Date | 2020-05-19 |
Last Update Date | 2024-03-10 |