| NPI | 1073690624 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F360508-1) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F0006191) |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2013-05-01 |