| NPI | 1285190645 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421824-01) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MA RN2347653) |
| Enumeration Date | 2019-02-11 |
| Last Update Date | 2026-03-18 |