| NPI | 1740443019 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 360513) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 360513) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2010-12-17 |