NPI | 1790229110 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11000981) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NJ 26NJ01295600) |
363L00000X Nurse Practitioner (Licence: GA GAA-NP000625) | |
363L00000X Nurse Practitioner (Licence: IL 025256) | |
363L00000X Nurse Practitioner (Licence: CT 10548) | |
367A00000X Advanced Practice Midwife (Licence: FL APRN11000981) | |
Enumeration Date | 2016-12-05 |
Last Update Date | 2023-05-30 |