NPI | 1275741266 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: MO 2017029848) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 146573) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2021-11-26 |