NPI | 1750706925 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95000458) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 737835) |
Enumeration Date | 2014-02-25 |
Last Update Date | 2024-09-24 |