| NPI | 1659067221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F348449-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F348449-01) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F348449-01) | |
| Enumeration Date | 2023-04-17 |
| Last Update Date | 2023-04-17 |