NPI | 1659593572 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IA A096121) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: IA A096121) |
363LF0000X Nurse Practitioner, Family (Licence: IA A096121) | |
Enumeration Date | 2007-05-02 |
Last Update Date | 2024-02-13 |