NPI | 1518157114 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP009419) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN553040) |
Enumeration Date | 2007-07-30 |
Last Update Date | 2007-10-27 |