NPI | 1881166098 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0001299873) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN253940) |
363LW0102X Nurse Practitioner, Women's Health (Licence: VA 001299873) | |
Enumeration Date | 2018-12-28 |
Last Update Date | 2022-10-25 |