NPI | 1861955601 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704311684) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: MI 4704311684) |
Enumeration Date | 2019-04-09 |
Last Update Date | 2022-06-24 |