NPI | 1922632652 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA GAA-NP003410) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 087477-23) |
363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0134496) | |
Enumeration Date | 2020-03-03 |
Last Update Date | 2025-04-11 |