NPI | 1205817301 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 2243P) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: KY 1048697) |
Enumeration Date | 2005-11-07 |
Last Update Date | 2007-11-27 |