| NPI | 1396185971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421038) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F338590) |
| Enumeration Date | 2013-06-27 |
| Last Update Date | 2015-10-28 |