| NPI | 1679240113 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421504) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY pending) |
| Enumeration Date | 2021-08-24 |
| Last Update Date | 2021-09-23 |