NPI | 1326344268 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 235941) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: HI 66490) |
225700000X Massage Therapist (Licence: HI 7772) | |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: HI 2322) | |
Enumeration Date | 2011-02-09 |
Last Update Date | 2019-01-09 |