NPI | 1831643675 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: SC 20272) |
Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: SC 20272) |
Enumeration Date | 2016-08-10 |
Last Update Date | 2018-03-17 |