NPI | 1548554470 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: AZ AP4078) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ AP4078) |
Enumeration Date | 2011-06-08 |
Last Update Date | 2023-11-13 |