NPI | 1154871333 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 117833) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP132060) |
Enumeration Date | 2016-10-11 |
Last Update Date | 2019-05-10 |