NPI | 1962698514 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WY 14569.0146) |
Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: WY 14569.146) |
Enumeration Date | 2007-09-18 |
Last Update Date | 2012-02-01 |