| NPI | 1205267275 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420362-1) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F342269) |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2022-04-14 |