| NPI | 1295783041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F420702-1) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360460-1) |
| 367A00000X Advanced Practice Midwife (Licence: NY F001132-1) | |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2007-07-08 |