NPI | 1720503881 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61131467) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: UT 5842552-8900) |
Enumeration Date | 2017-08-10 |
Last Update Date | 2021-06-24 |