| NPI | 1750742912 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421787) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 745739) |
| 164W00000X Licensed Practical Nurse (Licence: NY 311895) | |
| Enumeration Date | 2016-03-16 |
| Last Update Date | 2025-03-03 |