NPI | 1710214887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111045) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NE 111045) |
Enumeration Date | 2009-11-11 |
Last Update Date | 2015-09-03 |