NPI | 1013315654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421185-1) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421185) |
Enumeration Date | 2014-12-14 |
Last Update Date | 2018-03-17 |