| NPI | 1053728816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421611) |
| Additional Taxonomies | 164W00000X Licensed Practical Nurse (Licence: NY 307109) |
| Enumeration Date | 2014-07-14 |
| Last Update Date | 2025-09-29 |