| NPI | 1346569993 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360432-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 480120) |
| 367A00000X Advanced Practice Midwife (Licence: NY F000721-1) | |
| Enumeration Date | 2010-05-21 |
| Last Update Date | 2012-09-13 |