NPI | 1972844926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421102) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 12821) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ15024200) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024190432) | |
Enumeration Date | 2013-03-14 |
Last Update Date | 2025-04-17 |