NPI | 1093918997 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AR A02990) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AR A002990) |
Enumeration Date | 2007-06-07 |
Last Update Date | 2021-06-08 |