| NPI | 1962886960 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: DC rn1043865) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421204) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2017-09-01 |