NPI | 1750719837 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: PA SP013261) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP013261) |
Enumeration Date | 2013-10-28 |
Last Update Date | 2014-09-19 |