NPI | 1972700516 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: KS 44964) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MO 090618) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2009-11-05 |