| NPI | 1043275050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F000052-1) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F4207721) |
| Enumeration Date | 2006-04-20 |
| Last Update Date | 2014-10-17 |