NPI | 1659757946 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9481761) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-118699) |
Enumeration Date | 2015-08-10 |
Last Update Date | 2018-04-18 |