| NPI | 1174068209 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421610) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 711581) |
| Enumeration Date | 2016-12-28 |
| Last Update Date | 2024-10-17 |