NPI | 1316384233 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71006415A) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: IL 209010320) |
Enumeration Date | 2013-06-01 |
Last Update Date | 2020-12-30 |