NPI | 1164877742 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 5392) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209014136041382865) |
Enumeration Date | 2016-05-02 |
Last Update Date | 2018-11-01 |