NPI | 1639258627 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 359837) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420449) |
Enumeration Date | 2006-11-02 |
Last Update Date | 2007-07-08 |