NPI | 1700435054 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 067778-23) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421411-01) |
Enumeration Date | 2019-09-10 |
Last Update Date | 2022-03-22 |