| NPI | 1629704515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421864) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 794732) |
| 163W00000X Registered Nurse (Licence: TN 277822) | |
| Enumeration Date | 2022-07-25 |
| Last Update Date | 2025-10-01 |