NPI | 1912935156 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL APRN3110692) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL ARNP 3110692) |
Enumeration Date | 2006-06-28 |
Last Update Date | 2024-08-16 |