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 |