| NPI | 1689997827 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421256-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 619566-1) |
| Enumeration Date | 2010-03-02 |
| Last Update Date | 2016-10-19 |