| NPI | 1245762129 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421253) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 649847) |
| Enumeration Date | 2017-03-30 |
| Last Update Date | 2017-03-30 |