| NPI | 1578684049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 355642) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: NY F332541) |
| Enumeration Date | 2007-04-03 |
| Last Update Date | 2007-07-08 |