| NPI | 1770137689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 344482) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: NY F344482-1) |
| Enumeration Date | 2019-07-29 |
| Last Update Date | 2021-09-13 |