| NPI | 1093137481 |
|---|---|
| Former Legal Business Name | WOMENS HEALTH PRACTICE |
| Entity Type | Organization |
| Authorized Contact | EDLINE WALTERS Nurse Practitioner 646-388-4702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 305R00000X Preferred Provider Organization |
| Enumeration Date | 2014-01-20 |
| Last Update Date | 2017-12-13 |