NPI | 1770774028 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 3231) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 143381-030) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WI 3231) | |
Enumeration Date | 2007-08-01 |
Last Update Date | 2021-12-22 |