NPI | 1164515169 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA AP04141) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: LA RN071817 AP04141) |
Enumeration Date | 2006-10-02 |
Last Update Date | 2021-07-07 |