NPI | 1023356748 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704177641) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704177641) |
Enumeration Date | 2013-01-31 |
Last Update Date | 2020-08-05 |