| NPI | 1518372473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421163) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 22 629856) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2022-10-17 |