NPI | 1245389188 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: VA 0024072427) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001072427) |
Enumeration Date | 2007-01-09 |
Last Update Date | 2007-10-13 |