| NPI | 1275744278 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP2008) |
| Enumeration Date | 2007-05-24 |
| Last Update Date | 2022-09-08 |