| NPI | 1780779611 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360119) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 223329) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2023-03-07 |