NPI | 1679049597 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0010276) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP019225) |
Enumeration Date | 2018-10-18 |
Last Update Date | 2024-01-02 |