| NPI | 1891701926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207VX0000X Obstetrics & Gynecology Obstetrics (Licence: NY 304457) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: NY 304457) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2011-03-17 |