NPI | 1568607422 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5004192) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NC 5004192) |
Enumeration Date | 2008-12-08 |
Last Update Date | 2021-02-01 |