NPI | 1629434246 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: AL 1-138861) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-138861) |
363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-138861) | |
Enumeration Date | 2016-01-12 |
Last Update Date | 2024-02-01 |