NPI | 1699868166 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: CA RN180534) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA RN180534) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2007-07-13 |