NPI | 1770822678 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA RN2261558) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: RI APRN00793) |
Enumeration Date | 2013-02-12 |
Last Update Date | 2017-03-07 |