NPI | 1194987438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 3362P) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: KY 3362P) |
Enumeration Date | 2008-06-27 |
Last Update Date | 2008-06-27 |