NPI | 1194783407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 17629) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 17629) |
Enumeration Date | 2006-05-03 |
Last Update Date | 2010-01-08 |