NPI | 1669747341 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 10030601) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 17765) |
Enumeration Date | 2012-03-14 |
Last Update Date | 2025-01-03 |