| NPI | 1134259070 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 420430) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY F420430) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420430) | |
| Enumeration Date | 2007-03-07 |
| Last Update Date | 2022-07-21 |