NPI | 1619717451 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: PA SP029762) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: PA SP029762) |
207VF0040X Obstetrics & Gynecology, Urogynecology and Reconstructive Pelvic Surgery (Licence: PA SP029762) | |
Enumeration Date | 2024-05-29 |
Last Update Date | 2024-06-13 |