| NPI | 1265891485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F308023-1) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: AL 1-134290) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: AL 1-134290) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421268-1) | |
| Enumeration Date | 2016-02-16 |
| Last Update Date | 2016-12-20 |