| NPI | 1669436887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 304987) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 420661) |
| 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420661-1) | |
| Enumeration Date | 2006-04-14 |
| Last Update Date | 2008-09-15 |