NPI | 1346887650 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 23873) |
Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: SC 98065) |
Enumeration Date | 2019-12-05 |
Last Update Date | 2022-12-07 |