| NPI | 1285862847 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 001520) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY 420932-1) |
| Enumeration Date | 2009-06-22 |
| Last Update Date | 2016-05-27 |