NPI | 1669446043 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 1592962) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP1592962) |
367A00000X Advanced Practice Midwife (Licence: FL ARNP1592962) | |
Enumeration Date | 2006-02-14 |
Last Update Date | 2011-09-27 |