NPI | 1609019009 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CO APN.0991318-NP) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: PA UP004236G) |
Enumeration Date | 2009-04-14 |
Last Update Date | 2016-11-03 |