NPI | 1649501594 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AK 1128) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: AK 30948) |
Enumeration Date | 2010-01-15 |
Last Update Date | 2013-08-07 |