NPI | 1225414238 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AL 1-042611) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AL 1-042611) |
363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-042611) | |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AL 1-042611) | |
Enumeration Date | 2015-08-03 |
Last Update Date | 2022-10-04 |