NPI | 1689829889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN APN14298) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R178749) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TN 14298) | |
Enumeration Date | 2008-12-02 |
Last Update Date | 2022-03-31 |