NPI | 1225253222 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360059) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 360059) |
Enumeration Date | 2007-04-16 |
Last Update Date | 2019-12-03 |