| NPI | 1154266807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421910) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 767903) |
| Enumeration Date | 2026-04-20 |
| Last Update Date | 2026-04-20 |