NPI | 1366770489 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: IA F123448) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NE 111083) |
363LW0102X Nurse Practitioner, Women's Health (Licence: IA F-123448) | |
Enumeration Date | 2009-12-01 |
Last Update Date | 2019-07-02 |