NPI | 1821353442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NC 307092) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 305137) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420937) | |
Enumeration Date | 2012-07-10 |
Last Update Date | 2024-02-06 |