| NPI | 1972654200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420180-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 242410-1) |
| Enumeration Date | 2007-01-15 |
| Last Update Date | 2015-07-06 |