NPI | 1407944622 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 800019) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NC 800019) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2025-09-11 |