| NPI | 1174773857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NY F421194) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 695582) |
| 163W00000X Registered Nurse (Licence: TX 702729) | |
| 163WW0101X Registered Nurse Women's Health Care, Ambulatory (Licence: TX 702729) | |
| 363L00000X Nurse Practitioner (Licence: NY F370046) | |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: TX 702729) | |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2017-11-14 |