NPI | 1972860914 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CA 654511) |
Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: CA 654511) |
363LW0102X Nurse Practitioner, Women's Health (Licence: CA 654511) | |
Enumeration Date | 2012-04-16 |
Last Update Date | 2012-04-16 |