NPI | 1306144647 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: DE LG-0000703) |
Additional Taxonomies | 207R00000X Internal Medicine (Licence: DE C7-0018250) |
363LW0102X Nurse Practitioner, Women's Health (Licence: OH COA.12227-NP) | |
Enumeration Date | 2011-03-10 |
Last Update Date | 2024-03-08 |