NPI | 1699482422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: GA RN315144) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA ga315144) |
Enumeration Date | 2022-11-01 |
Last Update Date | 2024-03-14 |