NPI | 1750767620 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95006715) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MA RN2295442) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MA 2295442) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2295442) | |
Enumeration Date | 2015-08-03 |
Last Update Date | 2022-04-07 |