Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 363LW0102X | Nurse Practitioner - Women's Health | APN 00801 | NV |
NPI | 1063523389 |
---|---|
Provider Name | Ms. Florence J Minkow |
First Address | San Jose, CA 95126-2203 |
Second Address | Reno, NV 89503-4413 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 31/08/2006 |
Last Update Date | 26/07/2007 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
R59709 | (02) |