NPI | 1891917001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209-001485) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 41-244380) |
Enumeration Date | 2007-05-03 |
Last Update Date | 2010-06-22 |