NPI | 1972043453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421287) |
Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: VA 0024174596) |
Enumeration Date | 2017-03-02 |
Last Update Date | 2020-10-22 |