NPI | 1720366289 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NE 111181) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NE 64983) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NE 111181) | |
Enumeration Date | 2011-08-01 |
Last Update Date | 2011-08-01 |