NPI | 1679569073 |
---|---|
Former Name | ELIZABETH JEANNE GALLAGHER |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420721-1) |
Enumeration Date | 2005-09-22 |
Last Update Date | 2025-01-03 |