| NPI | 1659080760 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421620) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 860883) |
| Enumeration Date | 2022-11-17 |
| Last Update Date | 2023-03-07 |