NPI | 1558585810 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: VA 0024167179) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0017138739) |
Enumeration Date | 2007-04-11 |
Last Update Date | 2022-09-26 |