NPI | 1003431404 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NC 5013221) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NC F06200778) |
Enumeration Date | 2020-06-11 |
Last Update Date | 2023-11-27 |