NPI | 1679010615 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 29497) |
Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: SC 228265) |
Enumeration Date | 2017-01-29 |
Last Update Date | 2024-11-12 |