NPI | 1649662578 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AR A004363) |
Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AR A004363) |
Enumeration Date | 2015-03-02 |
Last Update Date | 2025-06-17 |