NPI | 1760436869 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: GA RN063201) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN063201) |
Enumeration Date | 2006-05-22 |
Last Update Date | 2007-07-08 |