NPI | 1700776531 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2339207) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2339207) |
Enumeration Date | 2025-07-03 |
Last Update Date | 2025-09-22 |