| NPI | 1285314997 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421771)  | 
| Additional Taxonomies | 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: MA RN2358823)  | 
| Enumeration Date | 2023-07-19 | 
| Last Update Date | 2025-05-06 |