NPI | 1659653558 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: AR F0816278) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AR A03606) |
Enumeration Date | 2011-09-15 |
Last Update Date | 2019-02-15 |