| NPI | 1467425934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: NY 360227) |
| Additional Taxonomies | 176B00000X Midwife (Licence: NY F000016) |
| Enumeration Date | 2006-02-07 |
| Last Update Date | 2018-03-28 |