NPI | 1114092889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: FL ARNP498812) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL ARNP498812) |
Enumeration Date | 2006-11-21 |
Last Update Date | 2007-07-08 |