NPI | 1992747000 |
---|---|
Former Name | EDEN WARE |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CO 118282) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: WY 21629.0281) |
363LW0102X Nurse Practitioner, Women's Health (Licence: NV APN000763) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: NM R54521) | |
363LW0102X Nurse Practitioner, Women's Health (Licence: MO 2003011982) | |
Enumeration Date | 2006-06-12 |
Last Update Date | 2023-03-07 |