NPI | 1982135687 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL APRN2893322) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP2893322) |
363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: FL ARNP2893322) | |
Enumeration Date | 2017-03-23 |
Last Update Date | 2023-11-27 |