NPI | 1689049421 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71006828A) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209013490) |
Enumeration Date | 2015-12-04 |
Last Update Date | 2022-05-25 |