NPI | 1659710887 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MN 340) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MN 210162-2) |
Enumeration Date | 2013-06-20 |
Last Update Date | 2023-01-12 |