| NPI | 1538158753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: FL ARNP 2747772) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421836-01) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ15253600) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2026-02-02 |