| NPI | 1902778418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner Women's Health (Licence: NY 357779) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: NY 357779) |
| Enumeration Date | 2025-09-23 |
| Last Update Date | 2025-09-23 |