NPI | 1578865812 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IN 71003454A) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IN 28184079A) |
Enumeration Date | 2010-11-18 |
Last Update Date | 2020-12-03 |