| NPI | 1528296068 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420900-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 488352-1) |
| Enumeration Date | 2009-06-23 |
| Last Update Date | 2024-09-06 |