NPI | 1538830898 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA A160964) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A160964) |
Enumeration Date | 2021-09-25 |
Last Update Date | 2023-11-17 |