NPI | 1467545053 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 140272-0) |
Additional Taxonomies | 171100000X Acupuncturist (Licence: MN 1375) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2015-08-19 |