| NPI | 1982485710 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 421672) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 707310) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2024-01-14 |