| NPI | 1760870869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 42 421182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 653205) |
| Enumeration Date | 2014-12-26 |
| Last Update Date | 2020-02-04 |