| NPI | 1972844926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421102) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CT 12821) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NJ 26NJ15024200) | |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: VA 0024190432) | |
| Enumeration Date | 2013-03-14 |
| Last Update Date | 2025-10-01 |