| NPI | 1669846655 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 705261) |
| Enumeration Date | 2015-11-14 |
| Last Update Date | 2021-10-13 |