NPI | 1518670587 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R228314) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R228314) |
Enumeration Date | 2023-01-04 |
Last Update Date | 2023-01-05 |