| NPI | 1003238619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421115-1) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 586552-1) |
| Enumeration Date | 2014-01-16 |
| Last Update Date | 2016-09-26 |