NPI | 1760689202 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OR 200650082NP NMNP-PP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200650082NP) |
Enumeration Date | 2007-06-28 |
Last Update Date | 2011-01-05 |