NPI | 1609043280 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX 577389) |
Additional Taxonomies | 364SM0705X Clinical Nurse Specialist Medical-Surgical (Licence: TX 577389) |
Enumeration Date | 2008-05-13 |
Last Update Date | 2013-10-16 |