NPI | 1093085268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1113617) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-113617) |
Enumeration Date | 2012-01-05 |
Last Update Date | 2020-05-06 |