| NPI | 1770903148 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421449) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 682460) |
| Enumeration Date | 2014-04-23 |
| Last Update Date | 2021-12-29 |