| NPI | 1649327065 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F390043) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: NY F390043) |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-08-08 |