NPI | 1467988337 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OK 95702) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95006531) |
Enumeration Date | 2017-05-11 |
Last Update Date | 2018-03-17 |