NPI | 1023443215 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV APRN78846-WHNP-BC) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WV HEN1-0437-9557) |
Enumeration Date | 2013-09-06 |
Last Update Date | 2019-10-16 |