| NPI | 1154388908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: AZ 4403) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 534660) |
| 163W00000X Registered Nurse (Licence: AZ 172842) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420740) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304149) | |
| Enumeration Date | 2006-04-26 |
| Last Update Date | 2022-05-23 |