| NPI | 1699482901 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421726) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: TN 32838) |
| Enumeration Date | 2022-11-04 |
| Last Update Date | 2024-02-12 |