| NPI | 1730505256 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421166) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 671958-1) |
| Enumeration Date | 2014-03-07 |
| Last Update Date | 2019-09-04 |