| NPI | 1184741878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 279833) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420032) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2025-09-11 |