NPI | 1841717543 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL 11036110) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO RN.1643039) |
Enumeration Date | 2017-08-24 |
Last Update Date | 2024-11-04 |