NPI | 1508808858 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R070172) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: MD R070172) |
Enumeration Date | 2006-06-12 |
Last Update Date | 2007-07-13 |