| NPI | 1669730511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421055) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 080527-23) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: GA RN217652) | |
| Enumeration Date | 2012-04-29 |
| Last Update Date | 2022-05-26 |