| NPI | 1053641928 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420939) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 420939) |
| Enumeration Date | 2009-12-28 |
| Last Update Date | 2019-12-03 |