| NPI | 1194045765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 370044) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420973) |
| Enumeration Date | 2010-06-07 |
| Last Update Date | 2021-05-14 |