NPI | 1700284288 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: MD R214226) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R214226) |
Enumeration Date | 2014-12-15 |
Last Update Date | 2024-04-17 |