NPI | 1144505256 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421054) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421054) |
Enumeration Date | 2011-10-20 |
Last Update Date | 2024-03-04 |