NPI | 1609852862 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F360364-1) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 001006) |
Enumeration Date | 2005-12-20 |
Last Update Date | 2007-07-08 |