| NPI | 1952837395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421240) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F42124001) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2021-12-03 |