NPI | 1457848327 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: TX 1170256) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NJ 26NJ00807800) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NJ 26NJ00807800) | |
Enumeration Date | 2018-04-17 |
Last Update Date | 2024-11-10 |