| NPI | 1306134051 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F421021) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F001409-1) |
| Enumeration Date | 2011-07-15 |
| Last Update Date | 2016-01-22 |