NPI | 1659483998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WA RN00052183) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WA AP30000972) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2007-07-08 |