| NPI | 1316480403 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421265) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 721413) |
| Enumeration Date | 2016-11-22 |
| Last Update Date | 2020-04-15 |