NPI | 1871175158 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NC 5014402) |
Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: GA 253736) |
Enumeration Date | 2021-04-26 |
Last Update Date | 2024-05-08 |