NPI | 1417056045 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 001986) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CT 001986) |
Enumeration Date | 2006-09-21 |
Last Update Date | 2015-02-05 |