NPI | 1215595640 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NV 386709) |
Additional Taxonomies | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: NV RN71057) |
Enumeration Date | 2019-05-31 |
Last Update Date | 2025-08-20 |