| NPI | 1720204498 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360269-1) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: OH NP-03826) |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2007-07-08 |