| NPI | 1730234816 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY F000674) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F333045) |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2011-12-30 |