NPI | 1790985570 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN284981) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP009536) |
363LW0102X Nurse Practitioner, Women's Health (Licence: PA RN546469) | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2025-04-22 |