NPI | 1376717835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9227950) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9227950) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9227950) | |
Enumeration Date | 2008-04-16 |
Last Update Date | 2012-02-01 |