NPI | 1962704726 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: VT 101.0072674) |
Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421020-1) |
Enumeration Date | 2010-11-30 |
Last Update Date | 2018-09-13 |