| NPI | 1043476237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421258-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 565107) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2019-07-11 |