NPI | 1942260153 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: SC 18368) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP008541) |
Enumeration Date | 2006-03-23 |
Last Update Date | 2019-03-06 |