| NPI | 1407847007 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F305204-1) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY f4207541) |
| Enumeration Date | 2005-11-02 |
| Last Update Date | 2010-05-06 |