NPI | 1073517041 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5009140) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5009140) |
Enumeration Date | 2005-06-08 |
Last Update Date | 2021-03-17 |