NPI | 1801336706 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: LA AP07939) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: LA AP07939) |
Enumeration Date | 2017-02-27 |
Last Update Date | 2023-07-24 |