NPI | 1770235038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 207362) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: OK R0082970) |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1072800) | |
Enumeration Date | 2022-01-18 |
Last Update Date | 2023-07-10 |