NPI | 1376932673 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WV APRN73901NP) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP014346) |
Enumeration Date | 2015-01-10 |
Last Update Date | 2021-10-27 |