| NPI | 1417624883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F310276) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY F310276) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-08-24 |