| NPI | 1407105810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LW0102X Nurse Practitioner, Women's Health (Licence: NY F360461-1) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NY 361038-1) |
| 367A00000X Advanced Practice Midwife (Licence: NY F000449-1) | |
| Enumeration Date | 2012-08-30 |
| Last Update Date | 2017-05-12 |