NPI | 1538613906 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: CA 95017603) |
Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: IL 2016011859) |
Enumeration Date | 2016-08-15 |
Last Update Date | 2024-07-02 |