NPI | 1922502293 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: FL APRN9367222) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL APRN9367222) |
363LW0102X Nurse Practitioner Women's Health (Licence: FL APRN9367222) | |
Enumeration Date | 2018-03-21 |
Last Update Date | 2024-07-02 |