| NPI | 1114449030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 341343) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 341343) |
| Enumeration Date | 2017-07-12 |
| Last Update Date | 2022-06-29 |