NPI | 1497802847 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704160054) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MI 4704160054) |
Enumeration Date | 2007-01-05 |
Last Update Date | 2019-08-05 |