NPI | 1003145954 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP118486) |
Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: TX 695964) |
Enumeration Date | 2009-12-23 |
Last Update Date | 2024-12-18 |