NPI | 1376979369 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5006426) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5006426) |
Enumeration Date | 2013-09-23 |
Last Update Date | 2020-10-28 |