| NPI | 1184058596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 42421142) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 676615) |
| 163W00000X Registered Nurse (Licence: MA 2277496) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2015-07-30 |