NPI | 1144436106 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL ARNP 9247801) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 225550) |
Enumeration Date | 2007-05-15 |
Last Update Date | 2009-12-30 |