NPI | 1639203540 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 200650117NP) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: TX 739989) |
Enumeration Date | 2007-03-15 |
Last Update Date | 2009-03-19 |