| NPI | 1134566698 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421540-01) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 661943) |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2022-10-05 |