NPI | 1659629756 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111407) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 111407) |
Enumeration Date | 2012-08-21 |
Last Update Date | 2015-09-04 |