NPI | 1437445038 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NH 072588-23) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MA rm2304686) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 336834) | |
Enumeration Date | 2011-06-22 |
Last Update Date | 2023-03-03 |