| NPI | 1376514687 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 176B00000X Midwife (Licence: NY F000791) |
| Additional Taxonomies | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY F360156) |
| Enumeration Date | 2006-01-27 |
| Last Update Date | 2018-12-10 |