| NPI | 1912782517 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421777) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: IL 209027269) |
| Enumeration Date | 2023-08-30 |
| Last Update Date | 2025-01-03 |