NPI | 1083634117 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363A00000X Physician Assistant (Licence: FL PA9102569) |
Additional Taxonomies | 364SW0102X Clinical Nurse Specialist, Women's Health (Licence: CA PA21373) |
Enumeration Date | 2006-07-20 |
Last Update Date | 2023-01-25 |