NPI | 1942592308 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: AL 1-077304) |
Additional Taxonomies | 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: AL 1-077304) |
Enumeration Date | 2011-05-04 |
Last Update Date | 2023-11-16 |