NPI | 1609653328 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: IA A176363) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: IA 110230) |
Enumeration Date | 2023-09-14 |
Last Update Date | 2023-09-14 |