| NPI | 1245255454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360284-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 22 438468) |
| Enumeration Date | 2006-07-12 |
| Last Update Date | 2015-02-26 |