NPI | 1770968893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9450505) |
Additional Taxonomies | 363LC0200X Nurse Practitioner, Critical Care Medicine (Licence: FL ARNP9450505) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00579000) | |
Enumeration Date | 2015-07-30 |
Last Update Date | 2018-05-16 |