| NPI | 1578989869 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421175-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 644650-1) |
| Enumeration Date | 2014-03-11 |
| Last Update Date | 2016-11-14 |