NPI | 1780620344 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: GA 121320) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: GA 121320) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: GA 121320) | |
Enumeration Date | 2006-06-21 |
Last Update Date | 2020-07-27 |