NPI | 1912113465 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9264764) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001188952) |
363L00000X Nurse Practitioner (Licence: VA 0017138032) | |
Enumeration Date | 2007-05-14 |
Last Update Date | 2023-03-07 |