NPI | 1235313750 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 8242) |
Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CA 8248) |
363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 8248) | |
Enumeration Date | 2007-12-19 |
Last Update Date | 2024-09-09 |