NPI | 1952630378 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 23323) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2299864) |
363LA2200X Nurse Practitioner, Adult Health (Licence: NC 5006778) | |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NC 5006778) | |
Enumeration Date | 2009-12-14 |
Last Update Date | 2024-02-05 |