NPI | 1669368676 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MS 907507) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 907507) |
Enumeration Date | 2025-06-16 |
Last Update Date | 2025-06-16 |