NPI | 1811305923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5007012) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NC 5007012) |
Enumeration Date | 2014-08-01 |
Last Update Date | 2019-10-21 |