| NPI | 1215342001 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421706) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 712154) |
| Enumeration Date | 2014-06-30 |
| Last Update Date | 2023-11-30 |