NPI | 1639565328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111795) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA F091641) |
Enumeration Date | 2015-04-09 |
Last Update Date | 2022-01-19 |