NPI | 1114021755 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R102152) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R102152) |
Enumeration Date | 2006-09-12 |
Last Update Date | 2007-07-08 |