NPI | 1760571079 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 080045015) |
Additional Taxonomies | 176B00000X Midwife (Licence: OR 080045016N5) |
Enumeration Date | 2006-10-12 |
Last Update Date | 2013-02-01 |