| NPI | 1437875242 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WX0002X Registered Nurse, Obstetric, High-Risk (Licence: TN 234042) |
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: TN 234042) |
| Enumeration Date | 2022-10-13 |
| Last Update Date | 2022-10-13 |