| NPI | 1952390155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F332509) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F332509) |
| Enumeration Date | 2005-10-19 |
| Last Update Date | 2011-12-07 |