| NPI | 1295887123 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: NY 3457381) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F4204821) |
| 367A00000X Advanced Practice Midwife (Licence: NY F0004851) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2007-07-08 |