| NPI | 1942220652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 300852) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420260) |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2011-03-14 |