NPI | 1629338637 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 27856) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000198) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MD R152415) | |
Enumeration Date | 2012-05-23 |
Last Update Date | 2024-04-02 |