| NPI | 1780249268 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421584) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 727257) |
| Enumeration Date | 2019-05-09 |
| Last Update Date | 2022-11-09 |