NPI | 1902491988 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA GAA-NP001541) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 24728) |
Enumeration Date | 2021-03-02 |
Last Update Date | 2023-12-14 |