| NPI | 1578989075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 421167) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 612304) |
| Enumeration Date | 2014-03-10 |
| Last Update Date | 2016-04-07 |