| NPI | 1679905012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 619905-1) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421908-01) |
| Enumeration Date | 2013-08-08 |
| Last Update Date | 2025-10-18 |