| NPI | 1316534225 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421571) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 837054) |
| 163WG0000X Registered Nurse, General Practice (Licence: TN 248463) | |
| Enumeration Date | 2020-12-26 |
| Last Update Date | 2022-06-29 |