NPI | 1922147388 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: FL APRN1391332) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP1391332) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP 1391332) | |
Enumeration Date | 2007-02-05 |
Last Update Date | 2024-05-22 |