| NPI | 1952929200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 346088) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NY F346088-01) |
| Enumeration Date | 2020-07-13 |
| Last Update Date | 2021-10-07 |