NPI | 1174954820 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R218833) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001235806) |
363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024171089) | |
Enumeration Date | 2013-12-05 |
Last Update Date | 2015-12-30 |