| NPI | 1457532723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 336990) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420537-1) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 423706) | |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2018-03-26 |