NPI | 1639102338 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 643424) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 643424) |
Enumeration Date | 2006-07-08 |
Last Update Date | 2022-04-07 |