| NPI | 1174697189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY 330529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 270437) |
| 176B00000X Midwife (Licence: NY 000087) | |
| Enumeration Date | 2006-11-20 |
| Last Update Date | 2007-11-19 |