NPI | 1679647234 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA NP8053) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 451612) |
Enumeration Date | 2006-11-17 |
Last Update Date | 2018-09-26 |