| NPI | 1265098768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421573) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN693795) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: PA SP019545) | |
| Enumeration Date | 2019-05-10 |
| Last Update Date | 2024-04-19 |