NPI | 1619606977 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 27881) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5019835) |
Enumeration Date | 2022-06-09 |
Last Update Date | 2025-07-23 |