| NPI | 1265644280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: NY F420701) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 001116) |
| Enumeration Date | 2007-05-03 |
| Last Update Date | 2012-02-17 |