| NPI | 1942481981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F306626-1) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 306626) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: WI F421130-1) | |
| Enumeration Date | 2007-11-19 |
| Last Update Date | 2023-03-21 |