NPI | 1174515423 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP3394792) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP3394792) |
Enumeration Date | 2005-08-22 |
Last Update Date | 2024-01-26 |