| NPI | 1972881357 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY F336629-1) |
| Additional Taxonomies | 163WX0003X Registered Nurse, Obstetric, Inpatient (Licence: NY 577356-1) |
| Enumeration Date | 2011-08-02 |
| Last Update Date | 2012-09-06 |