| NPI | 1619260858 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 421035) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 619188) |
| Enumeration Date | 2011-05-20 |
| Last Update Date | 2018-11-06 |