| NPI | 1568982619 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 421294) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY 421294) |
| Enumeration Date | 2017-06-20 |
| Last Update Date | 2023-06-30 |