NPI | 1144760133 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 25398) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 25398) |
207V00000X Obstetrics & Gynecology (Licence: TN 25398) | |
Enumeration Date | 2017-02-24 |
Last Update Date | 2024-01-31 |