NPI | 1770734402 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207VG0400X Obstetrics & Gynecology, Gynecology (Licence: SC 26628) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL arnp9442154) |
363LW0102X Nurse Practitioner, Women's Health (Licence: KY 3005739) | |
Enumeration Date | 2008-09-30 |
Last Update Date | 2024-01-16 |