| NPI | 1245328467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 000828) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420347) |
| Enumeration Date | 2006-10-11 |
| Last Update Date | 2015-05-18 |