NPI | 1710962303 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT 16334) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MT RN016334) |
Enumeration Date | 2005-12-07 |
Last Update Date | 2015-11-25 |