NPI | 1720100860 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 8054) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0001262505) |
363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN0000008054) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2023-07-19 |