| NPI | 1316728140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421699) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: MD R212557) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2023-10-13 |