NPI | 1467490490 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP1700X Nurse Practitioner, Perinatal (Licence: AZ AP1724) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ AP1742) |
363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP2587) | |
Enumeration Date | 2006-06-03 |
Last Update Date | 2018-06-05 |