NPI | 1093583072 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP028924) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA SP028924) |
Enumeration Date | 2023-12-19 |
Last Update Date | 2025-01-21 |