NPI | 1942747910 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2011037548) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MO 2011037548) |
Enumeration Date | 2017-01-27 |
Last Update Date | 2017-05-11 |