NPI | 1295761047 |
---|---|
Former Name | DORI BETH KADISH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ00102400) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024166953) |
Enumeration Date | 2006-06-23 |
Last Update Date | 2017-02-16 |