NPI | 1750498960 |
---|---|
Former Name | SHULAMIT C BOSSEWITCH |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL APRN9352811) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MA 260036) |
Enumeration Date | 2006-08-24 |
Last Update Date | 2021-05-26 |