NPI | 1750764734 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9303849) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9303849) |
Enumeration Date | 2015-07-08 |
Last Update Date | 2022-03-06 |