NPI | 1295474468 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 95020187) |
Additional Taxonomies | 207VX0201X Obstetrics & Gynecology, Gynecologic Oncology (Licence: CA NP95020187) |
Enumeration Date | 2022-06-03 |
Last Update Date | 2024-04-30 |