NPI | 1376507095 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9382388) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD NP082802) |
Enumeration Date | 2006-04-12 |
Last Update Date | 2016-10-11 |