NPI | 1295402956 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP024273) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP024273) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA sp024273) | |
Enumeration Date | 2021-08-30 |
Last Update Date | 2021-08-30 |