| NPI | 1508067182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360184) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 360184) |
| Enumeration Date | 2007-05-30 |
| Last Update Date | 2025-01-15 |