| NPI | 1700871258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: NY F338591-1) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY F420277-1) |
| Enumeration Date | 2005-09-12 |
| Last Update Date | 2024-05-17 |