NPI | 1295944916 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420926) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 261427) |
Enumeration Date | 2007-05-21 |
Last Update Date | 2011-09-01 |