NPI | 1699894311 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: MD R098141) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: MD R098141) |
Enumeration Date | 2007-03-28 |
Last Update Date | 2007-07-08 |