| NPI | 1316058654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360448-1) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NY F334768-1) |
| 367A00000X Advanced Practice Midwife (Licence: NY F000654-1) | |
| Enumeration Date | 2006-08-31 |
| Last Update Date | 2012-01-24 |