NPI | 1366073702 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP95013840) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95013840) |
Enumeration Date | 2020-02-03 |
Last Update Date | 2024-01-11 |