| NPI | 1225192941 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 313468-1) |
| Additional Taxonomies | 363LP1700X Nurse Practitioner, Perinatal (Licence: NY F390015) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2007-07-08 |