NPI | 1215268990 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 791838) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP60116159) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NY 42 420956) | |
Enumeration Date | 2010-01-20 |
Last Update Date | 2012-02-08 |