NPI | 1700893260 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: VA 0024065065) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024065065) |
Enumeration Date | 2006-08-01 |
Last Update Date | 2007-07-08 |