| NPI | 1750501482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: CT 5584) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420650) |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2024-03-08 |