| NPI | 1487752747 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: NY F301369-1) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: NY F301369-1) |
| 363LX0001X Nurse Practitioner Obstetrics & Gynecology (Licence: NY F301369-1) | |
| 363L00000X Nurse Practitioner (Licence: NY F301369-1) | |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2007-07-08 |