NPI | 1780268722 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA NP95016920) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CA 95016920) |
Enumeration Date | 2021-05-06 |
Last Update Date | 2022-05-24 |