NPI | 1427700491 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: AZ 269192) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AZ 269192) |
Enumeration Date | 2022-01-21 |
Last Update Date | 2023-11-14 |