NPI | 1265554331 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 9182257) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9182257) |
363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP9182257) | |
Enumeration Date | 2007-04-06 |
Last Update Date | 2020-07-30 |