NPI | 1376569608 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MO 151025) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MO 151025) |
Enumeration Date | 2006-07-13 |
Last Update Date | 2017-11-22 |