NPI | 1891051769 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL 9219661) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP9219661) |
Enumeration Date | 2012-04-05 |
Last Update Date | 2017-09-25 |