| NPI | 1336585082 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY 001548) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 063533) |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2013-09-19 |