NPI | 1265576185 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IL 209.006994) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IL 209.006994) |
363LF0000X Nurse Practitioner, Family (Licence: IA A-087782) | |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA F-087782) | |
Enumeration Date | 2007-02-16 |
Last Update Date | 2013-03-11 |