| NPI | 1053514091 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420647-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F000398-1) |
| Enumeration Date | 2007-06-07 |
| Last Update Date | 2007-07-08 |