| NPI | 1609210707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F339986) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 583166) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421093) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2022-07-21 |