NPI | 1073974077 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0017143992) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R226669) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: DC RN1043828) | |
Enumeration Date | 2016-03-17 |
Last Update Date | 2024-11-04 |