| NPI | 1124441498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 562731) |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-01-22 |