NPI | 1184643074 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: PA TP006710B) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA TP006710B) |
Enumeration Date | 2006-07-19 |
Last Update Date | 2010-05-11 |