| NPI | 1033535141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NM CNP-02594) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 673868-1) |
| 163W00000X Registered Nurse (Licence: NM RN-80950) | |
| Enumeration Date | 2014-03-13 |
| Last Update Date | 2020-02-27 |