NPI | 1730195884 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: MI 4704158768) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MI 4704158768) |
Enumeration Date | 2006-07-31 |
Last Update Date | 2016-10-20 |