NPI | 1407902968 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SD R012514CNP0342) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: SD R012514CNP0342) |
Enumeration Date | 2007-01-26 |
Last Update Date | 2007-07-08 |