| NPI | 1346290848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F302062) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY 000825) |
| Enumeration Date | 2006-05-12 |
| Last Update Date | 2020-01-21 |