NPI | 1558423343 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420423-1) |
Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F304824-1) |
Enumeration Date | 2006-12-15 |
Last Update Date | 2014-06-25 |