NPI | 1639160518 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R170167) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 201392011NP-PP) |
Enumeration Date | 2005-10-31 |
Last Update Date | 2022-10-14 |