| NPI | 1285124529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 661755) |
| Enumeration Date | 2018-05-11 |
| Last Update Date | 2022-04-14 |