NPI | 1679051189 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DE LH-0000230) |
Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: DE L1-0039216) |
Enumeration Date | 2018-08-06 |
Last Update Date | 2020-10-26 |