NPI | 1932484417 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: TX AP102016) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 223169) |
Enumeration Date | 2011-10-17 |
Last Update Date | 2015-11-18 |