NPI | 1386858272 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 13209) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN074595 NP) |
363LW0102X Nurse Practitioner, Women's Health (Licence: TX 459530) | |
Enumeration Date | 2007-05-09 |
Last Update Date | 2015-04-25 |