NPI | 1366015547 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: IA A164475) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A164475) |
Enumeration Date | 2021-07-23 |
Last Update Date | 2024-11-11 |