NPI | 1295216372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP018942) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: PA SP018942) |
207Q00000X Family Medicine (Licence: PA SP018942) | |
Enumeration Date | 2018-08-27 |
Last Update Date | 2024-06-12 |