| NPI | 1750473575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360138) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY 360138) |
| Enumeration Date | 2006-09-29 |
| Last Update Date | 2019-12-03 |