NPI | 1699951269 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 17548) |
Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: TN BOL104333404) |
Enumeration Date | 2008-01-14 |
Last Update Date | 2021-05-26 |