NPI | 1811009202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX AP108766) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: TX 612429) |
Enumeration Date | 2006-08-31 |
Last Update Date | 2017-02-14 |