NPI | 1992802037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: CT 000019) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: CT 19) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2020-01-27 |