| NPI | 1376606012 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: NY 335206) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: NY F000422) |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY f360139) | |
| Enumeration Date | 2006-12-17 |
| Last Update Date | 2010-07-17 |