| NPI | 1639722457 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 344802) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 607040) |
| Enumeration Date | 2019-07-21 |
| Last Update Date | 2019-07-21 |