NPI | 1700144623 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP142301) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2013028583) |
363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704288531) | |
Enumeration Date | 2012-04-28 |
Last Update Date | 2022-03-01 |