| NPI | 1700435054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NH 067778-23) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421411-01) |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2022-03-22 |