NPI | 1881727790 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 167717) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: OR 200440434RN) |
363LW0102X Nurse Practitioner, Women's Health (Licence: WA RN00114784) | |
Enumeration Date | 2007-03-13 |
Last Update Date | 2007-07-08 |