NPI | 1649672726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60775672) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: IN 28193002A) |
Enumeration Date | 2014-09-20 |
Last Update Date | 2020-10-07 |