NPI | 1467575829 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 221379) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX 221379) |
Enumeration Date | 2007-04-09 |
Last Update Date | 2015-09-11 |