| NPI | 1366064198 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420851-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 542925-1) |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2020-05-14 |