NPI | 1780044750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: FL ARNP3391372) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP3391372) |
Enumeration Date | 2016-03-03 |
Last Update Date | 2024-01-24 |