NPI | 1700100518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 6518) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 436897) |
Enumeration Date | 2010-03-23 |
Last Update Date | 2023-11-20 |