| NPI | 1538801105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 807376-01) |
| Enumeration Date | 2022-04-12 |
| Last Update Date | 2025-10-24 |