| NPI | 1316312788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F421384) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: PA MW010386) |
| Enumeration Date | 2015-12-10 |
| Last Update Date | 2019-10-01 |