NPI | 1225334030 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5012661) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 5012661) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP2521412) | |
Enumeration Date | 2011-01-27 |
Last Update Date | 2023-01-18 |