NPI | 1932857190 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11014091) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN11014091) |
Enumeration Date | 2022-03-16 |
Last Update Date | 2024-01-26 |