NPI | 1851556393 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN11030499) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ APN4471) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: TX 695978) | |
Enumeration Date | 2008-07-24 |
Last Update Date | 2024-02-07 |