NPI | 1447627443 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R165372) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R165372) |
367A00000X Advanced Practice Midwife (Licence: MD R165372) | |
Enumeration Date | 2015-08-25 |
Last Update Date | 2015-08-25 |