NPI | 1225025273 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704208777) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024168785) |
Enumeration Date | 2005-10-04 |
Last Update Date | 2021-03-30 |