NPI | 1417006081 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VX0000X Obstetrics & Gynecology, Obstetrics (Licence: HI MD-24448) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: KY 4353P) |
390200000X Student in an Organized Health Care Education/Training Program | |
363L00000X Nurse Practitioner (Licence: KY 3004353) | |
Enumeration Date | 2007-01-10 |
Last Update Date | 2024-06-19 |