| NPI | 1922446244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207V00000X Obstetrics & Gynecology (Licence: NY 309221) |
| Additional Taxonomies | 207V00000X Obstetrics & Gynecology (Licence: VA 0102203954) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: NY 309221) | |
| Enumeration Date | 2013-06-08 |
| Last Update Date | 2023-07-17 |