NPI | 1649623323 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: SC 20203) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: SC 20203) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: SC 20203) | |
Enumeration Date | 2016-07-19 |
Last Update Date | 2023-01-24 |