NPI | 1861086753 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5014662) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 103474) |
363LF0000X Nurse Practitioner, Family (Licence: NC 5014662) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: SC 25300) | |
Enumeration Date | 2021-02-22 |
Last Update Date | 2024-06-11 |