NPI | 1366064198 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420851-1) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 542925-1) |
Enumeration Date | 2020-05-14 |
Last Update Date | 2020-05-14 |