| NPI | 1568758753 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 420987) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 615098) |
| Enumeration Date | 2011-06-26 |
| Last Update Date | 2011-07-16 |