| NPI | 1659624302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 338554) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420594) |
| Enumeration Date | 2012-10-18 |
| Last Update Date | 2017-02-04 |