NPI | 1649354762 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 7430) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5004692) |
Enumeration Date | 2006-10-25 |
Last Update Date | 2025-07-24 |