NPI | 1952697948 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 207QA0401X Family Medicine, Addiction Medicine (Licence: FL ARNP9320940) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: FL arnp9320940) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL arnp9320940) | |
Enumeration Date | 2011-06-28 |
Last Update Date | 2021-08-21 |