NPI | 1487657300 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R113728) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R113728) |
Enumeration Date | 2005-05-24 |
Last Update Date | 2015-12-21 |