NPI | 1851991947 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AZ 306033) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1014793) |
Enumeration Date | 2020-10-28 |
Last Update Date | 2024-08-22 |