Registry details
Type
Individual
Primary specialty
Nurse Practitioner, Women's Health
Enumerated
Jan 18, 2021
License(s)
F421446-01 (NY)
Addresses on file
| Purpose | Address | City/State | Phone |
|---|---|---|---|
| MAILING | 50 E 18TH ST APT E12 | Brooklyn, NY 11226-2700 | |
| LOCATION | 50 E 18TH ST APT E12 | Brooklyn, NY 11226-2700 | 718-715-2924 |
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