NPI | 1720281926 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024174428) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL TPAN2229) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360136) | |
Enumeration Date | 2007-06-06 |
Last Update Date | 2024-06-09 |