NPI | 1144480757 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024166622) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: VA 0024166622) |
Enumeration Date | 2008-06-17 |
Last Update Date | 2022-09-22 |