NPI | 1316519382 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 1113136) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TX 1113136) |
Enumeration Date | 2021-07-10 |
Last Update Date | 2023-06-20 |