| NPI | 1013323088 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421174-1) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 641061-1) |
| Enumeration Date | 2014-07-10 |
| Last Update Date | 2022-07-21 |