NPI | 1750523767 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 10624) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 10624) |
363LW0102X Nurse Practitioner, Women's Health (Licence: HI APRN-2291) | |
Enumeration Date | 2009-04-06 |
Last Update Date | 2020-09-30 |