NPI | 1033328471 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MS R866332) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS R866332) |
Enumeration Date | 2007-05-22 |
Last Update Date | 2016-02-03 |