| NPI | 1003334822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421773) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP017851) |
| 363L00000X Nurse Practitioner (Licence: PA SP017851) | |
| Enumeration Date | 2017-08-31 |
| Last Update Date | 2024-08-15 |