NPI | 1184774879 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 309000596) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209.000198) |
Enumeration Date | 2007-01-12 |
Last Update Date | 2015-08-18 |