| NPI | 1326708272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421792) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 767252) |
| Enumeration Date | 2021-12-20 |
| Last Update Date | 2024-09-17 |