| NPI | 1962945634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341258) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: HI 1894) |
| Enumeration Date | 2016-11-29 |
| Last Update Date | 2016-11-29 |