| NPI | 1740625706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F4211221) |
| Additional Taxonomies | 163WM0102X Registered Nurse, Maternal Newborn (Licence: NY 5270531) |
| Enumeration Date | 2013-05-05 |
| Last Update Date | 2017-04-25 |