| NPI | 1366783433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421146) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 657394) |
| Enumeration Date | 2013-03-13 |
| Last Update Date | 2015-06-13 |