NPI | 1912595851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD AC008144) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024185180) |
Enumeration Date | 2021-01-06 |
Last Update Date | 2025-10-02 |