NPI | 1295980365 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9396058) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209-001461) |
Enumeration Date | 2008-11-17 |
Last Update Date | 2022-07-21 |