| NPI | 1689915357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 421135) |
| Additional Taxonomies | 163WE0003X Registered Nurse Emergency (Licence: NY 485415) |
| Enumeration Date | 2013-03-06 |
| Last Update Date | 2014-10-13 |