NPI | 1821407248 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95013661) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420893-1) |
363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0108817) | |
Enumeration Date | 2014-08-11 |
Last Update Date | 2020-04-08 |